Preoperative MR angiography in free fibula flap transfer for head and neck cancer: Clinical application and influence on surgical decision making

Preoperative MR angiography in free fibula flap transfer for head and neck cancer: Clinical application and influence on surgical decision making
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DOI:
10.2214/ajr.04.1950
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发表时间:
2007-01-01
影响因子:
5
通讯作者:
Carlos, Ruth C.
Carlos, Ruth C.
中科院分区:
医学2区
文献类型:
--
作者:
Kelly, Aine M.;Cronin, Paul;Carlos, Ruth C.

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客观的。我们回顾腓骨游离皮瓣手术过程,以说明术前下肢 MR 血管造影的有用性,并展示 MR 血管造影上的小腿血管解剖结构如何影响患者的手术管理。结论。术前 MR 血管造影具有较高的阳性预测值和敏感性,可以提高受者下颌部位获得成功的机会。它为重建外科医生提供了路线图,揭示可能改变或禁忌手术的血管异常或疾病。
OBJECTIVE. We review the fibular free flap surgical procedure to illustrate the usefulness of preoperative lower limb MR angiography and to show how calf vascular anatomy on MR angiography affects patient surgical management.CONCLUSION. With its high positive predictive value and sensitivity, preoperative MR angiography can improve the chances of a successful outcome at the recipient mandibular site. It provides the reconstructive surgeon with a road map, revealing vascular anomalies or disease that could alter or contraindicate surgery.